If you are representing a student group applying to start a chapter, please name the student group here.

School Name *

City/Town *

Province/Territory *

Staff/Faculty Contact Name

Staff/Faculty Contact Name

Outrun the Stigma often partners with staff and/or faculty at college and university campuses to oversee and provide support for the chapter planning committee.

First Name

Last Name

Campus Organization

Staff/Faculty Email Address

Our Questions for You

Why would you like to bring Outrun the Stigma to your campus and community? *

Can an Outrun the Stigma Chapter fill a gap in mental health advocacy on your campus? Can an Outrun the Stigma Chapter offer a story sharing platform to students at your school?

Are there other mental health initiatives on your campus? If so, how will an Outrun the Stigma Chapter collaborate with these initiatives? *

Outrun the Stigma aims to build partnerships with faculty and/or staff at Chapters to oversee and provide support for the chapter planning committee. If you are applying as a staff of a campus organization or a faculty, tell us about your role/affiliation with that organization and why you are both are interested in starting an Outrun the Stigma Chapter. If you are not applying with a campus organization or a faculty, do you know any on your campus that might be interested in collaborating with you to form a Chapter? *